农村退伍军人与社会风险因素的经验:影响,挑战和护理系统建议
Ida Griesemer1, Jennifer A Palmer2,3, Risette Z MacLaren2
1Veterans Affairs Boston Healthcare System, Center for Healthcare Organization and Implementation Research, Boston, MA, USA. Ida.Griesemer@va.gov.
Journal of general internal medicine
|November 27, 2023
概括
农村退伍军人面临影响心血管健康的社会风险. 解决这些需求需要更好的资源信息和导航支持,涉及社区合作伙伴.
科学领域:
- 健康的社会决定因素
- 农村卫生 农村卫生
- 心血管疾病 心血管疾病
背景情况:
- 社会风险因素,如粮食不安全和财务需求增加了心血管疾病的风险.
- 包括退伍军人在内的农村人口不成比例地受到这些条件的影响.
- 了解农村退伍军人的经历对于退伍军人卫生管理局 (VHA) 有效解决社会需求至关重要.
研究的目的:
- 探索农村退伍军人与社会风险和需求的经验.
- 为VHA制定可行的建议,以改善社会需求支持.
- 为VHA的战略提供信息,以解决农村退伍军人人口健康的社会决定因素.
主要方法:
- 对29名不同种族的农村退伍军人进行了半结构化采访.
- 利用安德森的行为模型和健康的社会决定因素框架来指导采访过程.
- 员工指导定性内容分析,以从转录的采访中确定关键主题.
主要成果:
- 确定了四个主要主题:影响医疗保健获取的社会需求,获取帮助的结构性障碍,退伍军人不愿寻求帮助以及改善资源传播和导航的建议.
- 强调社会需求显著阻碍农村退伍军人获得医疗保健.
- 揭示了结构性挑战和个人犹作为获得社会需求支持的障碍.
结论:
- VHA的干预必须积极传播有关社会需求资源的信息,并提供导航支持.
- 社区组织,如退伍军人服务组织,是未来社会需求干预的重要合作伙伴.
- 提高资源可访问性和导航对于农村退伍军人获得必要支持至关重要.
相关概念视频
Specialized Care Centers and Settings-II
729
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
729
Community Based Intervention
44
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
44
Factors Affecting Illness
4.2K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
4.2K
Documentation in Long-Term and Home Healthcare Setting
894
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
894
Psychological and Sociocultural Causes of Schizophrenia
91
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
91
Post-traumatic Stress Disorder
35
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
35


